Infect ag na influenza revr/amp ea type at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$89.85
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$599.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$25.66 with AMERIGROUP vs $599.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $25.66 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.61 | ↓ -51% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $51.31 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $51.31 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $51.31 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $51.31 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $51.31 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $51.31 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $51.31 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $51.31 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $51.31 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $51.31 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $51.31 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $51.31 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $51.31 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $52.34 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $53.36 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $53.36 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $53.36 | ↓ -41% |
| NHC ADVANTAGE | NHC ADVANTAGE | $53.88 | ↓ -40% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $53.88 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $53.88 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $53.88 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $53.88 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $54.39 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $60.12 | ↓ -33% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $61.92 | ↓ -31% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $61.98 | ↓ -31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $62.52 | ↓ -30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $63.13 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $68.06 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $68.06 | ↓ -24% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $72.22 | ↓ -20% |
| AMBETTER | AMBETTER | $111.86 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $113.32 | ↑ +26% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $123.14 | ↑ +37% |
| SENTARA HEALTH | SENTARA HEALTH | $154.60 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $206.44 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $206.44 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $206.44 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $228.23 | ↑ +154% |
| BLUE CROSS | BLUE CROSS S NETWORK | $231.03 | ↑ +157% |
| BLUE CROSS | BLUE CROSS P NETWORK | $233.13 | ↑ +159% |
| AETNA | AETNA | $255.77 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $285.06 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $461.23 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $599.00 | ↑ +567% |
Visitor-reported prices
Comments
Infect ag na influenza revr/amp ea type at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $88.09 | $36.34 – $113.32 |
| Greeneville Community Hospital | GREENEVILLE | $89.85 | $23.09 – $111.86 |
| Bristol Regional Medical Center | BRISTOL | $89.85 | $25.66 – $123.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $89.85 | $25.66 – $111.86 |
| Ascension Saint Thomas Midtown | Nashville | not published | $18.47 – $198.67 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $35.98 – $198.67 |
| Ascension Saint Thomas Highlands | Sparta | not published | $35.98 – $198.67 |
| Ascension Saint Thomas River Park | McMinnville | not published | $35.98 – $198.67 |